(iii) Who has one or more physical or mental disabilities resulting from amputation, arthritis, autism, blindness, burn injury, cancer, cerebral palsy, cystic fibrosis, deafness, head injury, heart disease, hemiplegia, hemophilia, respiratory or pulmonary dysfunction, mental illness, multiple sclerosis, muscular dystrophy, musculoskeletal disorders, neurological disorders (including stroke and epilepsy), spinal cord conditions (including paraplegia and quadriplegia), sickle cell anemia, intellectual disability, specific learning disability, end-stage renal disease, or another disability or combination of disabilities determined on the basis of an assessment for determining eligibility and vocational rehabilitation needs to cause comparable substantial functional limitation. state VR agencies and the SSA or Disability Determination Services (DDS) may exchange records about specific individuals. The level of significance is designated at the time of eligibility on the "Disabilities" page in RHW. Equal Opportunity Employer/Program To enable an individual with a disability to engage in a gainful occupation or achieve maximum personal independence the commission may engage in or contract for activities, including but not limited to: (A) evaluation of rehabilitation potential, including diagnostic and related services incidental to the determination of eligibility for Inform the customer that the case will be closed as ineligible, inform the customer of the right to appeal the decision and provide the "Can We Talk" brochure. Call 2-1-1. It must be entered prior to selecting "yes" or "no" for eligibility in RHW. Texas Rehabilitation Commission - Fort Worth. This review need not be conducted in situations in which the individual has refused it, the individual is no longer present in the State, the individual's whereabouts are unknown, or the individual's medical condition is rapidly progressive or terminal. Refer to the chart in B-308-2: Diagnostic and Statistical Manual of Mental Disorders (DSM) Tool. Audiometric evaluation (including audiogram) that documents level and type of hearing loss. PDF State Agencies' Role in Social Security Disability Determinations . Welcome | TCDRS Examples of seriously limited capacity in interpersonal skills that requires intervention include when the customer requires. You may be eligible for vocational rehabilitation services if you: Get help preparing for, obtaining, retaining or advancing in your employment through the following individualized services. 4700 South Riverside Drive, Fort Worth TX 76119 Phone Number:(817) 413-7815. In most cases, when an individual has a physical impairment, a formal functional capacity assessment (FCA) is not required to determine the presence of an impairment. If the customer is not currently being treated by a neurologist, obtain this evaluation before determining eligibility unless the customer is on SSI/ and/or SSDI. (14) Eligible individual means an applicant for vocational rehabilitation services who meets the eligibility requirements of 361.42(a). A 1943 amendment to the Vocational Rehabilitation Act made people with "hidden handicaps," such as mental illness and intellectual disability, eligible to receive services as well. The Table of Required Assessments and Policy for Selected Conditions below includes only content related to eligibility determination. Comprehensive Rehabilitation Services; . Refer to B-300: Determining Eligibility for additional information about requirement for use of existing records to determine eligibility. "Best correction" is the best visual acuity obtained with a simple refraction (glasses or contact lenses), not with a low vision aid, such as a telescopic aid. the customer cannot access these services elsewhere without VR intervention. The SSI program pays benefits to adults and children who meet our requirements for a qualifying disability and have limited income and resources. However, if the use of these benefits would interrupt or delay the individual's eligibility assessment, document the reason that comparable benefits are not being used in a case note in RHW and move forward with coordinating necessary assessments. Every dollar helps. Before eligibility is determined, customers with these disorders must be: See VRSM C-800: Neurodevelopmental and Psychological Services. Obesity is not considered an impairment for eligibility determination purposes if it does not meet the criteria of severe (morbid) obesity, that is, a body mass index (BMI) of 40 or greater. Use VR3105A, VR3105B, and VR3105C, Hearing Evaluation Report, or the equivalent. the customer's medical and/or psychological treatment, if any; and. Nonunion or malunion fractures require medical records from a physician specializing in orthopedics. VR counselor cannot determine the customer's ability to achieve an employment outcome without the customer participating in Trial Work Experiences. VR3112, Cancer Diabetes Disability Medical Report, completed by the: Cancers include all carcinomas and sarcomas of the internal organs (muscles, bones, nerves, brain, or glands) and lymphomas and leukemia. A signed TWP is required before any services, including trial work experiences, can be purchased, provided, or arranged for the customer. (e) Trial work experiences for individuals with significant disabilities. Use VR3105A, Hearing Evaluation Report Customer Questionnaire. border: 1px solid blue !important; Texas State Historical Association (TSHA). If the customer is receiving Supplemental Security Income (SSI) and/or Social Security Disability Insurance (SSI/SSDI), the VR counselor must make an eligibility decision on the same business day that verification is received. Box 2913 (78769) 118 East Riverside Drive Austin, TX 78704 https://www.tshaonline.org, https://www.tshaonline.org/handbook/entries/texas-rehabilitation-commission. Take the following actions to close the case: Review within 12 months (and annually thereafter, if requested by the customer or, if appropriate, by the customer's representative) any ineligibility determination that is based on a finding that the customer is incapable of achieving an employment outcome due to the severity of the disability. For twenty five of my forty five year history, I served as the Commissioner of the Texas Rehabilitation Commission. Listen to the general information about our services. It is not required that a customer reside in Texas to be considered eligible for VR services; he or she must only be present in Texas. To certify a disability, the Medical . See Counselor Desk Reference A10: Dental. Refer to B-604-1: Disability Too Significant to Benefit from Services for specific closure processes and procedures. Blind Children's Vocational Discovery & Development Program. In addition to vocational training, the commission provided counseling, financial assistance, and job placement. customer is available and needs other services; and. If the customer provides a written release, the VR counselor may contact the agency or program, set up an appointment for the customer, and provide the agency or program with information requested about the customer, when appropriate. The VR counselor must document the justification for all assessments in a case note in RHW. (B) Considered an individual with a significant disability as defined in 361.5(c) (29). To file a disability claim, visit www.socialsecurity.gov or call 800-772-1213 to make an appointment to file a claim at your local Social Security office or to set up an appointment for someone to take your claim over the phone. If it is determined that the case should be closed, refer to VRSM B-600: Closure and B-312: Closing a Case Ineligible or before Eligibility Determinationfor information about closing the case. See information about hearing aids in C-704-10: Hearing Aids. Complete the following steps to select the disability code: Using the same sequence of actions, select the secondary impairment that contributes to, but is not the primary basis, of the impediment to employment in VR or to the rehabilitation goals in comprehensive rehabilitation services and independent living services. An impairment that results in the customer being legally blind, which is defined as central visual acuity 20/200 or less in the better eye with best correction, or visual fields restriction of 20 degrees or less (both eyes). See also the Hard of Hearing section of this table, below. For conditions that appear to be unstable or acute, and may not result in persistent functional limitations, the VR counselor may consult with their VR Supervisor, local medical consultant (LMC), state optometric consultant (SOC), regional program specialist, or state office program specialist, as needed. The Massachusetts Rehabilitation Commission (MRC) provides services that break down barriers and empower people with disabilities to live life in their own terms. (S. Rep. No. If at any time while the customer is participating in Supported Employment Services it is determined the customer is eligible for services, an IPE must be implemented to continue supported employment service. Refer to VRSM C-703-33: Fractures for more information. To determine the level of significance of the case, the VR counselor. All customers who require extended services must have their cases designated in RHW as "most significant" disability for the life of the case. Impairment resulting in reduced breathing capacity. WIC. (ii) An exploration of the individual's abilities, capabilities, and capacity to perform in work situations is carried out in accordance with 361.42(e). Revision 13-2; Effective June 1, 2013 DDU will enter the disability determination in TIERS case comments and in the Disability Determination - DDU page. Refer to the Diagnostic and Statistical Manual Reference Chart to determine whether a DSM code diagnosis may be considered a primary disability for purposes of determining eligibility for services. Because of the disability, a customer's capacity to acquire and maintain needed job skills is limited, and the customer requires services or accommodations not typically needed by workers without disabilities. When the VR counselor closes the case before eligibility, refer the customer to another agency or program for services if the. See Counselor Desk Reference A14: Fractures. The following table lists specific functional capacities and examples of the nature and extent of limits to capacities.

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